Claim total
$3,935.75
base $127.17 · payer covered $2,087.66
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Laceration - injury312608009
- Start
- 2026-02-26
- Stop
- 2026-02-26
The parties
- Patient
- patient Tyrell Chance Rutherford
- Provider
- provider Claudia Bauch
- Care site
- care site THE VILLA AT ST LOUIS PARK
- Payer
- payer UnitedHealthcare
Record id
34a9f7f7-0cc5-2cf6-1c38-4e8506242c5f